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Hawaii rates for HCPCS 0657T

Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $6,966.00 / $8,499.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.51 / $2,466.51 / $12,303.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.36 / $3,400.20 / $3,953.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.40 / $3,675.47 / $3,812.90